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抑制血清糖皮质激素激酶 1 可预防肥胖相关的心房颤动。

Genetic inhibition of serum glucocorticoid kinase 1 prevents obesity-related atrial fibrillation.

机构信息

Cardiovascular Research Center, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Demoulas Family Foundation Center for Cardiac Arrhythmias, Massachusetts General Hospital, Boston, Massachusetts, USA.

出版信息

JCI Insight. 2022 Oct 10;7(19):e160885. doi: 10.1172/jci.insight.160885.

Abstract

Obesity is an important risk factor for atrial fibrillation (AF), but a better mechanistic understanding of obesity-related atrial fibrillation is required. Serum glucocorticoid kinase 1 (SGK1) is a kinase positioned within multiple obesity-related pathways, and prior work has shown a pathologic role of SGK1 signaling in ventricular arrhythmias. We validated a mouse model of obesity-related AF using wild-type mice fed a high-fat diet. RNA sequencing of atrial tissue demonstrated substantial differences in gene expression, with enrichment of multiple SGK1-related pathways, and we showed upregulated of SGK1 transcription, activation, and signaling in obese atria. Mice expressing a cardiac specific dominant-negative SGK1 were protected from obesity-related AF, through effects on atrial electrophysiology, action potential characteristics, structural remodeling, inflammation, and sodium current. Overall, this study demonstrates the promise of targeting SGK1 in a mouse model of obesity-related AF.

摘要

肥胖是心房颤动(AF)的一个重要危险因素,但需要更好地了解肥胖相关的心房颤动的机制。血清糖皮质激素激酶 1(SGK1)是一种位于多种肥胖相关途径中的激酶,先前的研究表明 SGK1 信号在室性心律失常中具有病理作用。我们使用高脂肪饮食喂养的野生型小鼠验证了一种肥胖相关 AF 的小鼠模型。心房组织的 RNA 测序显示基因表达存在显著差异,多个 SGK1 相关途径富集,我们还表明肥胖心房中的 SGK1 转录、激活和信号转导上调。在肥胖相关 AF 中,表达心脏特异性显性负 SGK1 的小鼠通过对心房电生理、动作电位特征、结构重塑、炎症和钠电流的影响而得到保护。总的来说,这项研究表明在肥胖相关 AF 的小鼠模型中靶向 SGK1 具有很大的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cf7/9675459/be3694947d2a/jciinsight-7-160885-g149.jpg

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